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Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction

Journal: Manual Therapy Date: 2008/02, 13(1):Pages: 50-56. doi: Subito , type of study: controlled clinical trial

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S1356689X06001445)

Keywords:

inter rater reliability [12]
joint diseases [5]
low back pain [413]
controlled clinical trial [283]
palpation [170]
pelvic bones [3]
reproducibility of results [16]
sacroiliac joint [59]

Abstract:

In muscle energy technique (MET), palpation is an important tool aimed at detecting asymmetry and selecting interventions. The aim of this study was to test the inter-examiner reliability of static palpation of the transverse processes of L5 (L5), sacral sulci (SS), inferior lateral angles of the sacrum (ILA), and the medial malleoli (MM) in a clinical setting. Twenty-five participants, aged 18-78 years, with low back pain and/or sacroiliac pain with or without radiating pain to the knee, were independently examined by two experienced physiotherapists. For L5, SS, ILA, the proportion of observed agreement was 40-44% and the kappa coefficient 0.11 (SE=0.12) to 0.17 (SE=0.10). For MM, the observed agreement was 52% and the kappa coefficient 0.28 (SE=0.15). Differences in palpation technique seem to be the most likely source of the low inter-examiner reliability in this study. For clinical practise, continued use of these tests as methods for detecting asymmetry and selecting interventions is of doubtful utility.


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